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Publication numberUS7512434 B2
Publication typeGrant
Application numberUS 09/851,462
Publication dateMar 31, 2009
Filing dateMay 8, 2001
Priority dateMay 8, 2001
Fee statusPaid
Also published asEP1386174A1, US7772848, US7991451, US20020169415, US20080068011, US20090045812, US20110237932, WO2002091008A1
Publication number09851462, 851462, US 7512434 B2, US 7512434B2, US-B2-7512434, US7512434 B2, US7512434B2
InventorsPeter Staats, E. Knipfer II James
Original AssigneeLiebel-Flarsheim Company
Export CitationBiBTeX, EndNote, RefMan
External Links: USPTO, USPTO Assignment, Espacenet
Remotely powered injector
US 7512434 B2
Abstract
A remotely powered magnetic resonance (NR) contrast media injector eliminates the use of batteries to power a power head in a shielded magnet room thereby eliminating inconvenient and costly charging and replacing of batteries. In particular, a power supply regulates and converts electrical power from a standard utility AC outlet available outside of the shielded magnet room to one or more forms of electrical power for supplying a power control for a power head inside the shielded magnet room. Advantageously, the power supply increases flexibility and convenience by using the same number of electrical cables as existing systems and by readily retrofitting existing battery-powered injector system that use a power control with battery receptacles.
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Claims(40)
1. A power injector system for use with a magnetic resonance imaging system installed at least in part within an electromagnetic interference shielded room electrically accessible via a penetration panel, the power injector system comprising:
a power head and power control unit adapted for operation within the shielded room to controllably inject a compound into a patient;
a power supply for operation outside the shielded room to receive utility electrical power; and
a power connection configured to couple electrical power through the penetration panel between the power supply outside of the shielded room and the power control, the power connection comprising a radio frequency filter reducing radio frequency electrical energy carried through said power connection.
2. The power injector system of claim 1, further comprising:
a control panel for generating data signals to control said power head adapted for operation outside the shielded room;
a power head control for actuating the powerhead; and
a data connection coupling said data signals from said control panel to said power head control for actuating said power head.
3. The power injector system of claim 1, wherein said radio frequency filter is incorporated within said penetration panel.
4. The power injector system of claim 1, wherein the power head comprises an electro-mechanical device, and the power connection is configured to actuate the electro-mechanical device.
5. The power injector system of claim 4, wherein the power head comprises an ultrasonic motor, and the power connection is configured to actuate the ultrasonic motor.
6. The power injector system of claim 1, wherein said radio frequency filter grounds conductive shields included within said power connection.
7. The power injector system of claim 1, wherein said radio frequency filter attenuates RF noise within a rejection frequency band selected to correspond to the RF frequencies used by said magnetic resonance imaging system.
8. A method of connecting a battery-powered magnetic resonance (MR) injector system in a shielded magnet room to a remote power supply, the method comprising:
placing a power supply outside of the shielded magnet room, the power supply coupled to an AC outlet for electrical power;
providing shielded cables having conductors adapted for electrical power transmission, wherein one cable positioned outside the magnet room couples the power supply to a penetration panel and the other cable positioned inside the magnet room couples the power from the power supply from the penetration panel the MR injector system,
providing a radio frequency filter at the penetration panel reducing radio frequency electrical energy carried through at least one conductor of at least one of said shielded cables; and
connecting a power control of the MR injector system in said shielded magnet room to conductors of the shielded cables so that power from said power supply is provided to components of said injector system that previously received only battery power.
9. The method of claim 8, further comprising:
in the power supply, relaying data signals from a console in the control room to the shielded cable.
10. The method of claim 8, further comprising:
in the power supply, coupling AC electrical power from an AC outlet to an AC outlet externally mounted on the power supply for powering the console.
11. The method of claim 8, wherein said radio frequency filter is incorporated within said penetration panel.
12. A medical imaging suite comprising:
a shielded room having walls that include electromagnetic shielding;
an AC power outlet located outside the room;
a magnetic resonance imaging system comprising a magnet that is located inside the room; and
a power injector system comprising:
a power head and power control located inside the room;
a power supply located outside the room, the power supply accessing and receiving power from the AC power outlet; and
a power connection configured to convey electrical power from the power supply, through a wall of the room, and to the power control, wherein the power connection comprises a radio frequency filter.
13. The imaging suite of claim 12, wherein the power head comprises an electro-mechanical device, and the power connection is configured to provide power to the electro-mechanical device.
14. The imaging suite of claim 12, wherein the power head comprises an ultrasonic motor, and the power connection is configured to provide power to the ultrasonic motor.
15. The imaging suite of claim 12, further comprising a control panel located outside the room for generating data signals to control said power head;
said power connection further configured to convey data signals from said control panel to said power head for controlling said power head.
16. The imaging suite of claim 12, wherein said radio frequency filter grounds conductive shields included within said power connection.
17. The imaging suite of claim 12, wherein said radio frequency filter attenuates RF noise within a rejection frequency band selected to correspond to the RF frequencies used by said magnetic resonance imaging system.
18. A medical imaging suite comprising:
a shielded room having walls that include electromagnetic shielding;
an AC rower outlet located outside the room;
a magnetic resonance imaging system comprising a magnet that is located inside the room; and
a power injector system comprising:
a power head located inside the room;
a power supply accessing and receiving power from the AC power outlet, wherein the power supply is located outside the room; and
a power connection configured to convey electrical power from the power supply into the room and to the power head, wherein the power connection comprises a radio frequency filter.
19. The imaging suite of claim 18, wherein the power head comprises an electro-mechanical device, and the power connection is configured to provide power to the electro-mechanical device.
20. The imaging suite of claim 18, wherein the power head comprises an ultrasonic motor, and the power connection is configured to provide power to the ultrasonic motor.
21. The imaging suite of claim 18, further comprising a control panel for generating data signals to control the power head.
22. The imaging suite of claim 21, wherein the power connection is configured to convey data signals from the control panel to the power head for controlling the power head.
23. The imaging suite of claim 18, wherein the radio frequency filter grounds conductive shields included within the power connection.
24. The imaging suite of claim 18, wherein the radio frequency filter attenuates RF noise within a rejection frequency band selected to correspond to the RF frequencies used by the magnetic resonance imaging system.
25. The imaging suite of claim 18, wherein the power connection comprises electrical cable.
26. The imaging suite of claim 18, wherein the power injector system comprises a battery compartment.
27. The imaging suite of claim 18, wherein the power supply of the power injector system comprises an AC-DC switcher for power conversion.
28. A method of operation for a magnetic resonance imaging suite, the method comprising:
a power supply of a magnetic resonance injector system receiving electrical power from an AC power outlet, wherein the power supply and the AC power outlet are located outside of a shielded room of the magnetic resonance imaging suite, and wherein the shielded room includes walls having electromagnetic shielding, conveying electrical power from the power supply of the magnetic resonance injector system into the shielded room via a power connection to a component of the magnetic resonance injector system located inside the shielded room, wherein at least a magnet of a magnetic resonance imaging system is located inside the shielded room; and
filtering radio frequency energy emitted from the power connection during the conveying.
29. The method of claim 28, wherein the power connection comprises electrical cable.
30. The method of claim 29, wherein the conveying comprises conveying electrical power through the electrical cable.
31. The method of claim 28, further comprising:
transmitting data signals into the shielded room from outside the shielded room.
32. The method of claim 31, wherein the transmitting comprises transmitting data signals through electrical cable.
33. The method of claim 28, wherein the component comprises a power head of the magnetic resonance injector system.
34. The method of claim 28, wherein the component comprises an electro-mechanical device of the magnetic resonance injector system.
35. The method of claim 34, wherein the conveying comprises conveying electrical power from the power supply to the electro-mechanical device.
36. The method of claim 28, wherein the component comprises an ultrasonic motor, and the conveying comprises conveying electrical power from the power supply to the ultrasonic motor.
37. The method of claim 28, wherein the component comprises a power control of the magnetic resonance injector system.
38. The method of claim 28, wherein the magnetic resonance injector system comprises a battery compartment.
39. The method of claim 28, wherein the power supply of the magnetic resonance injector system comprises an AG-DC switcher for power conversion.
40. The method of claim 28, wherein the filtering comprises attenuating RF noise within a rejection frequency band selected to correspond to RF frequencies used by the magnetic resonance imaging system.
Description
FIELD OF THE INVENTION

The invention relates to contrast media power injectors compatible for use within a magnetic resonance imaging (MRI) suite, and in particular, to electrical interconnection of components of a magnetic resonance (MR) injector.

BACKGROUND OF THE INVENTION

A Magnetic Resonance Imaging (MRI) unit consists of a large cylindrical superconducting magnet for generating a strong magnetic field, devices for transmitting and receiving radio waves, and a complex computer system. When a patient lies inside the MRI unit, the strong magnetic field causes the hydrogen nuclei in the patient to line up. A low-frequency radio wave is pulsed through the magnet into the patient. The hydrogen atoms absorb the energy released by the radio waves. This disrupts the uniformity of the nuclei. When the radio-wave stimulation stops, the nuclei return to their original state and emit energy in the form of weak radio frequency (RF) signals. The strength and length of these RF signals—and therefore the kind of image produced—depend on the properties of the organ or tissue involved. A computer translates the RF signals into highly detailed cross-sectional images. The images are essentially maps of the locations of water or hydrogen in the body.

The magnetic field produced by the MRI unit constrains installation of associated MRI equipment. In particular, any ferromagnetic object near the MRI unit will be attracted by the magnetic field, either impairing operation of the equipment or becoming a safety hazard if forcibly projected toward the MRI unit. Also, the uniformity of the magnetic field of the MRI unit is altered by ferromagnetic material, even if the ferromagnetic material is secured to prevent safety hazards. Consequently, ferromagnetic material is generally kept away from the MRI unit.

The radio frequency transmissions emitted by the MRI unit toward the patient also poses electromagnetic interference/compatibility (EMIC) constraints on the installation of other equipment. General consumer and medical equipment such as personal computers and monitors are typically inadequately shielded to prevent impairment of function due to the strength of such RF emissions. Inversely, the MRI unit is susceptible to degraded performance if RF noise from other equipment distorts the received RF signal during imaging.

For these reasons, the core of the MRI unit, including the magnetic field producing and RF transmission and receiving portions, is placed within a magnet room that is shielded from the other rooms of the MRI suite and the rest of the facility. Often, nonferrous metal sheets or mesh encompass the entire magnet room to prevent magnetic energy and RF energy from entering or leaving the magnet room. Consequently, the MRI unit generally includes highly shielded electrical power, data and control cabling that are routed through filtered and grounded access points so that susceptible or interfering components of the MRI unit may be placed outside of the shielded room.

The same installation constraints affect installation of other equipment in the shielded magnet room. For example, utility electrical power, typically provided as AC outlets throughout the facility, are a transmission path for RF noise and are thus often not provided in the shielded magnet room. Similarly, sensors and controls for equipment used in the MRI suite often have to be placed in another room of the MRI suite, typically either an equipment room or control room. These controls are connected to the magnet room via a penetration panel that maintains the EMI shielding while allowing penetration by shielded and filtered electrical cables.

As MRI units became capable of increased computational speed, opportunities were presented for use of contrast media, injected into patients before or during an MRI scan, to enhance dynamic imaging studies. In addition, contrast media were developed that allowed MRI scanning of certain types of tissues that otherwise were insufficiently distinguishable from surrounding tissue for effective MRI diagnostic studies. Power injectors for contrast media are sometimes preferred due to repeatability of dosage volumes and injection rates and keeping personnel away from the MRI unit during a scan. However, adapting contrast media injectors from other radiological modalities (e.g., X-ray, Computer-aided Tomography (CT), etc.) was difficult due to MRI unit installation limitations.

With reference to FIG. 1, a power injector system 10 for injecting image-enhancing contrast media into a patient before or during an MRI scan is depicted as installed in an MRI suite 12. In particular, the power injector system 10 depicted is an OPTISTAR™ magnetic resonance (MR) digital injection system available from Mallinckrodt, Liebel-Flarsheim Business, Cincinnati, Ohio. The system 10 successfully operates within an MRI suite 12 by placement of components at varying distances from an MRI unit 14 or with varying degrees of shielding. In particular, a power head 16 contains ultrasonic motors. The ultrasonic motors operate syringes to dispense contrast media and saline solution into a patient as commanded and powered over a shielded power head cable 18 by a power control 20.

The power control 20 is also within a shielded magnet room 22 of the MRI suite 12 along with the power head 16 and the MRI unit 14, although generally spaced away from the MRI unit 14 to reduce the EMIC considerations. Since AC outlets are generally not available in the shielded magnet room 22, the power control 20 is battery powered. The power control 20 provides power to the power head 16 in response to data signals that are relayed from the power head 16 to the power control 20 and between the power control 20 and a touch-screen console 24 outside of the shielded magnet room 22. In particular, a shielded electrical cable 26 for transferring data signals couples the power control 20 to an opening, such as a free hanging D-shell connector 28, in a penetration panel 30. An electrical cable 32 outside of the shielded magnet room 22 is electrically coupled to the other electrical cable 26 inside the shielded magnet room 22 via a filter 34 connected to the penetration panel 30. The filter 34 reduces RF noise induced on the cables 26, 32. In the depicted MRI suite 12, the cable 32 passes from an equipment room 36 that is positioned adjacent to the penetration panel 30 to a control room 38 where the MRI unit controls (not shown) and the power injector touch-screen console 24 reside.

Since the power control 20, and thus the power head 16, are battery powered, a battery charger 40 is placed in the control room 38 for recharging a battery 42 for use in the power control 20. The battery charger 40 receives its power from an AC outlet 44. Thus, an inconvenient task is placed on operators of the MRI unit 14 and battery-powered injector system 10 to monitor the state of charge of batteries 42 and swap batteries between the battery charger 40 and the power control 20. If an undercharge of batteries 42 installed in the power control 20 is not detected in a timely fashion, the operation of the MRI unit 14 is delayed, reducing the number of patients that may be scanned. Such reduction in the number of patients increases medical costs and limits delivery of medical services.

In addition to clinical and staffing considerations, there is the increased inventory of batteries 42 necessary to have sufficient batteries for both use and simultaneous recharging. Furthermore, use of battery power places design constraints upon the battery-powered injector system 10, such as reducing functionality or increasing the size and cost of the batteries 42 to handle the power demand.

As an example of a design constraint, the power control 20 provides power for the electronic components and the ultrasonic motors of the power head 16 and the electronic components of the power control 20 itself. The power control 20 does not power components outside the magnet room 22. Consequently, several of the major components of the battery-powered injector system 10 each individually have internal power supplies that regulate and convert electrical power for use by that major component. For example, the console includes a power supply that also receives power from the AC outlet 44 and converts the AC electrical power to DC voltages useful for the electronics and display devices therein. Similarly, the battery charger 40 includes an internal power supply that regulates and converts AC power to voltages suitable for its electronics and for the battery 42 being recharged. Also, the power control 20 includes an internal power supply for regulating and converting the battery power from installed batteries 42 for the voltages required for its operation. Each internal power supply increases the cost, the size, and the cooling requirement of each major component.

Therefore, a significant need exists for an MR injector system with reduced cost that is simpler to operate than current battery-powered injector systems.

SUMMARY OF THE INVENTION

The present invention addresses these problems with a remotely powered MR injector that efficiently utilizes AC electrical power provided at convenient AC outlets in a control room of an MRI suite. In particular, a remotely positioned power supply supplies the electrical power requirements for the entire MR injector system. Operators are no longer inconvenienced by charging and replacing batteries. In addition, installation of the MR injector system is enhanced by incorporating electrical power transmission into shielded electrical cables that also transmit data signals.

In one particular aspect of the present invention, a power supply outside of the shielded magnet room provides electrical power to a power head inside of the shielded magnet room via electrical cables coupled through a penetration panel.

In another aspect of the present invention, the power supply replaces a battery charger in an existing battery-powered injector system by providing electrical power across the penetration panel to a power control inside the shielded magnet room. The power control actuates a power head, which is near an MRI unit, to inject contrast agent and saline into patients undergoing an MRI scan. In particular, electrical power from an electrical cable from the penetration panel is interconnected with internal conductors of the power control that previously received power from a battery. The power supply is thus configured to provide electrical power equivalent to those of previously-used batteries. Thereby, existing MR injector systems receive many of the benefits provided by a remotely powered MR injector system.

The above and other objects and advantages of the present invention shall be made apparent from the accompanying drawings and the description thereof.

BRIEF DESCRIPTION OF THE DRAWING

The accompanying drawings, which are incorporated in and constitute a part of this specification, illustrate embodiments of the invention and, together with a general description of the invention given above, and the detailed description of the embodiments given below, serve to explain the principles of the invention.

FIG. 1 is schematic of a prior art battery-powered injector installed in a magnetic resonance imaging (MRI) suite; and

FIG. 2 is a schematic of a power injector consistent with the present invention with components installed in the magnet room directly powered by other components installed outside of the magnet room.

DETAILED DESCRIPTION OF SPECIFIC EMBODIMENTS

Turning to FIG. 2, a remotely powered MR injector system 50 consistent with the present invention is installed in an MRI suite 52 having a magnet room 54 enclosed within EMI shielded walls 56. Other portions of the MRI suite 52, depicted as an equipment room 58 and a control room 60, are electrically accessible to the magnet room 54 via a penetration panel 62 in the EMI shielded walls 56. A power supply 64 of the system 50 advantageously provides electrical power to the entire system 50, reaching portions of the system 50 within the magnet room 54 via the penetration panel 62, thereby eliminating the need for battery power to power a power head 66 near an MRI unit 68.

The power supply 64 simplifies installation in the MRI suite 52 by accessing a standard AC outlet 70 in the control room 60. In the illustrative embodiment, the power supply 64 converts standard utility AC power from the outlet 70 into several forms suitable for the other major components of the system 50 with an AC-DC switcher 72, such as a GPM225 global performance switcher available from Condor D.C. Power Supplies, Inc. of Oxnard, Calif. This AC-DC switcher 72 is suitable for use in a medical facility such as control room 60 and may be flexibly supplied from outlet power ranging from 28-264 Vac, 47-63 Hz single phase. Examples of alternative implementations of switcher 72 include the PM200 Series of AC-DC switching power supplies from International Power Sources, Inc. of Holliston, Mass.

For an existing OPTISTAR™ MR system, the power supply 64 advantageously emulates the power performance of the batteries installed into a conventional power control 74 in the magnet room 22. Specifically, a first electrical cable 76 outside of the magnet room 22 couples the power supply 64 to the penetration panel 62. The first electrical cable includes data conductors 78 suitable for electronic data signals for sensing and command signals and power conductors 80 suitable for electrical power signals for powering electronics and electromechanical devices (e.g., ultrasonic motors of power head 66). For instance, the power conductors 80 may be coupled to the battery compartment 81 to utilize existing electrical power wiring in the power control 74.

The first cable 76 connects to a conventional RF filter 86 at the penetration panel 62. The RF filter 86 grounds conductive shields of the first cable 76 so that induced noise on the shields is reduced at the EMI shielded wall 56. Also, the RF filter 86 attenuates RF noise on data and power conductors 76, 80 within a rejection frequency band selected to correspond to the RF frequencies used by the MRI unit 68. On the inside of the magnet room 54, the other side of the penetration panel electrically couples to a second electrical cable 84 via a free hanging D-shell connector (not shown). The other end of the second cable 84 couples to the power control 74. Like the first cable 76, the second electrical cable 84 includes data conductors 88 suitable for electronic data signals for sensing and command signals and power conductors 90 suitable for electrical power signals for powering electronics and electromechanical devices.

It will be appreciated that either additional interconnections may be made, such as wall connector (not shown) in the wall 91 between the console room 60 and the equipment room 58. Similarly, instead of one cable 76, 84, 98, respectively, between major components 64, 66, 74, 94 of the system 50, a plurality of cables electrically run in parallel may be used.

The power control 74 includes power head control electronics 92 that receives feedback and any operator commands input at the power head 66. The power head control electronics 92 further provides operation status data to a touch-screen console 94 in the control room 60 for display to an operator. The power head control electronics 92 also receives commands from the console 94 and responds by activating a DC-AC ultra sonic motor drive 96 to produce a signal over a power head cable 98 to the power head 66 to actuate syringe plungers to dispense contrast media and/or saline solution.

The power supply 64 facilitates communication between the console and power control 74 by including a data link 100 that couples the first cable 76 to a console cable 102. The console cable 102 advantageously includes data conductors 104 for conducting data signals and power conductors 106 for powering the console 94. Alternatively or in addition to power conductors 106, the power supply 64 may include an interconnection between the AC power received from the AC outlet 70 to an AC outlet 108 externally mounted for a conventional electrical plug of a conventional monitor 94. The data link 100 may further include an original equipment manufacturer (OEM) data port 110 for later upgrades to the system 50.

In use, an operator of a remotely powered MR injector system 50 installs a console 94 and power supply 64 in a control room 60 of an MRI suite 52 by plugging the power supply 64 into an AC outlet 70. A console cable 102 is connected between the console 94 and the power supply 64. A power control 74 and a power head 66 are positioned within the magnet room 54. Specifically, the power head 66 is placed proximate to the MRI unit 68 and connected via power head cable 98 to the power control 74. The power control 74 is spaced away from the MR unit 68. Ideally, any ferromagnetic components of the power control 74 are not only shielded, but also oriented such that the entire power control 74 may be oriented with respect to the magnetic field from the MRI unit to minimize magnetic field interruption. Communication between the portions of the system in rooms 54, 60 is facilitated by cables 76, 84 between the power supply 64 and power control 74. In addition, cables 76, 84 include power conductors 80, 90 to remotely power the power head 66 via power control 74.

By virtue of the foregoing, an improved MR injector system 50 is operable within the demanding EMIC constraints of the MRI suite 52 without the inconvenience and additional costs of using battery power inside the magnet room 54.

While the present invention has been illustrated by a description of various embodiments and while these embodiments have been described in considerable detail, it is not the intention of the applicants to restrict or in any way limit the scope of the appended claims to such detail. Additional advantages and modifications will readily appear to those skilled in the art. The invention in its broader aspects is therefore not limited to the specific details, representative apparatus and method, and illustrative example shown and described. Accordingly, departures may be made from such details without departing from the spirit or scope of applicant's general inventive concept.

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Referenced by
Citing PatentFiling datePublication dateApplicantTitle
US7772848 *Aug 10, 2010Liebel-Flarsheim Co.Method of operation for a magnetic resonance imaging suite
US7991451Aug 2, 2011Liebel-Flarsheim Co.Method of operation for a magnetic resonance imaging suite
US8121667 *May 10, 2007Feb 21, 2012Koninklijke Philips Electronics N.V.Interfaced base unit and display system for an MRI magnet room
US8139948Jun 12, 2006Mar 20, 2012Acist Medical Systems, Inc.Process and system for providing electrical energy to a shielded medical imaging suite
US9125984Jun 23, 2005Sep 8, 2015Acist Medical Systems, Inc.Hydraulic injection system and injection method
US20070285021 *Jun 12, 2006Dec 13, 2007E-Z-Em, Inc.Process and system for providing electrical energy to a shielded medical imaging suite
US20080068011 *Nov 12, 2007Mar 20, 2008Liebel-Flarsheim CompanyMethod of Operation for a Magnetic Resonance Imaging Suite
US20090045812 *Oct 21, 2008Feb 19, 2009Liebel-Flarsheim CompanyMethod of Operation for a Magnetic Resonance Imaging Suite
US20100036236 *May 10, 2007Feb 11, 2010Koninklijke Philips Electronics N. V.Method of interfacing a detachable display system to a base unit for use in mri
US20100042068 *Jun 23, 2005Feb 18, 2010Michael FriebeHydraulic injection system and injection method
US20110237932 *Sep 29, 2011Liebel-Flarsheim CompanyMethod of Operation for a Magnetic Resonance Imaging Suite
WO2011046857A1Oct 11, 2010Apr 21, 2011Mallinckrodt Inc.Piezoelectrically-driven power injector
Classifications
U.S. Classification600/420, 600/431, 324/307
International ClassificationA61M5/145, A61B6/00, G01R33/28, G01V3/00, A61B5/055, A61B5/05, A61M5/00
Cooperative ClassificationA61M5/14546, G01R33/28, A61M5/007
European ClassificationG01R33/28, A61M5/145B6
Legal Events
DateCodeEventDescription
May 8, 2001ASAssignment
Owner name: LIEBEL-FLARSHEIM COMPANY, OHIO
Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNORS:STAATS, PETER;KNIPFER, II JAMES E.;REEL/FRAME:011789/0276;SIGNING DATES FROM 20010503 TO 20010504
May 19, 2009CCCertificate of correction
Mar 23, 2010RRRequest for reexamination filed
Effective date: 20091221
Sep 14, 2010B1Reexamination certificate first reexamination
Free format text: THE PATENTABILITY OF CLAIMS 18 AND 28 IS CONFIRMED. CLAIMS 1-17, 19-27 AND 29-40 WERE NOT REEXAMINED.
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Effective date: 20140319
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